HomeMy WebLinkAbout2011-00397 - mechanical � CITY OF ORONO PERMIT NO.: 2011-00397
� 2750 KELLEY PARKWAY
ORONO, MN 55356- DATE IssuEn: 05/27/2011
952 249-4600 FAX: 952 249-4616
ADDRESS : ]20 CREEK RIDGE PASS
PIN : 03-117-23-12-0014
LEGAL DESC : CREEKS[DE IN ORONO
: LOT 003 BLOCK 001
PERMIT TYPE : MECHANICAL(>�500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : MECHANICAL- MULTIPLE
VALUATION : $ 17,400.00
NOTE: 1 BRYANT NA'f. GAS FURNACE
I BRYANT 4 TON AC
1 KITCHEN EXHAUST
3 BATH EXHAUST
GAS LINE FOR COOKTOP,DRYER,PURNACE
APPLICANT
MECHANICAL 217.50
HEATING & COOLING TWO INC. STATE SURCHARGE MECH(VALUATION) 8.70
18550 COUNTY ROAD 81
MAPLE GROVE, MN 55369- MAIL-IN FEE 2.00
(763)428-36'77 MISC FEE 0.00
TOTAL 228.20
PAID WITH CC# 9380
OWNER
GUSTAFSON, MICHAEL& SUSAN
1000 SHELARD PKWY#300
M[NNEAPOLIS, MN 55426-
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issued shall be performed according to
the approved plans and specitications,applicable City approvals,and the
Sta[e Building Code. This permit is for only the work described and does �
not grant permission for additional or related�vork��hich requires separate
permits. All provisions of laws and ordinances governing this type of work
shall be compied with whether or not specitied herein.This permit will
expire and become null and void if construction authorized is not
commenced within 180 days of the date of issuance,or if construction is
suspended for a period of 180 days at any time atter work has commenced.
The applicant is responsible for assuring all required inspections are
requested in conformance with the State Building Code.'I�his permit may be �
revoked at any time for due cause.
jivt2�-� UtJ l l l l
_Applicant Permitee Signature Date Issued[3y Si ature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED AB E.
05/27/2011 07:43 FAX 7634283682 HEATING AND COOLING TWO 1�002
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O O O�te I.ecei.v�d; ,Pel'mit# . � �
�iy 2750 K�Ilry N�rkway - ,..; , —
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�i�� � CPy�•lal l3aY,MN 5532} APPTovcd L-ly: Amount;$.
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CITY Or ORONO — NZEC�YA,NZCAL PF:RMIT
(All Commcrcial perrnits nlusl be�pp�uvod by the Duildin�;Of�oisl ur lnspe��or anJ/ur Firc Marsliali)
�:GENER.A;L:IlVFO.lZivI�1TI0N , ' , �
1. You may,ipply fnr m�chal�lc;z1 pcnl7uts by n�i1 or in person at the Ciry of�x�es. 1lppli�at'tons w.11
be r�viewed and a permit wi11 be issued withiia two working days,
2. Permit cards wilt be sent by retun�m;iil aftcr a review is completed. PERMI'fS ARE NOT
VALID UNTYL.YOU RECEIV�A PERMIT, 'PVORK MUST NOT Bi+,rT1V YJNTIL T�Ik,
PERMY 1'CARD IS POSTED nN THF J0�3 SITF.,.
3. Ivlechai�ical'DEsigns—Coz����lete�alcularions, details ai�.d speci.ficaeions are requued for eacl�
1.12a1in�, ventilatio�a, humidiftcation-dehtunidificacion,and air co�7ditiortiu�instaltaCion i.ncludini;
h�aC loss/heat gai�.a calcularion, desigla temperatu;�es, equipmont racings aizd idencificatian as co
typc,manufachue�and model. Uata shall be pz�esentcd on fornti pl'ovided.
4, Wl�en any a�eW tonst�uci'ion or remodelina,is involved,a 5eparate build'u�g pern�it must be
abtaia�eci.
5. A11 wo�'k must bc donc i�a accordax�,ce �vit11 t�ae Unifoi�rn Nlecl�,anicll C:ode/Statc Buildiug Cod�
requisenlents.
6. All wock tnust bc inspe�tcd(rough-in and tinal,). Call(952) 249-4600.
(24-48 hour notice rcc�uired)
7. Housc FIcating'1'cst Record m�ist be sub�niried before ti��al,
� TXl?'�;�.OF'P;�RMIT . ' '
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Rcsidential ❑ CommcrcAal(Approval Requ�zed)
❑ Ncw ❑ Addtiion�l ❑Repairs ❑ Rc lace
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-:'Jiob:Site%;,Owner Tiifoj�mation: � '' '';�
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Site n,ddress: � � � !�� ''
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Owner: Mazli�lg�ddress:
Crty, � L1�:
Home Phone: Alternate Phone:
�::Gont�actor�Tz�.:formation.;
Contz�ctor: Coz�tact�erson: �V �'��/W
;';�,; NEATI G, �
�d . . ` . 18550 Courtty Rd, et State Bond#:
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` ,`.'.. �763)4E8-3877
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City: ' . , Www.heetcool2.00p,�p: � Expiratio��Date:
Pllone: Alternate�hoile:
❑ I��su�ance— Cui7e�a�t:
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05/27/2011 07:4� FAX 7694283682 HEATING AND COOLING TWO �004
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❑ �'cs, tl�is secCion applies
T}1C l�eF11�CClll�ll(UP il RL'S1dC11C111�1\LUI"C Ol�a �liancc that xneets all tb,tee of thc followin�requicements:
1. T�oe.s not require c7,udiGcation to elecn�cal or gas service.
2. Has a total cost uf$500.00 0�'lass; cxcludii� lhc cost of tl�e f�ture ur a��pliancc; ancl
3. Is irnpro�cd,installed or replaced by the homeowner or Iice��sed conh•actor. �
Skip next section, if t��is applies; Cost of Pernut $ 15.Q0
Scatc Sut'chsrge $ ,,,____ .50
Mail-In Fee(Tf ApplicaUle) $ _I.�p
I'otsl Pertxlit�'ee $
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IF above does not apply; follo�v guidclin.es Uelow:
� 1. CONTR.ACT�'RTCE * is 1..25% of conh�act priec with a (Nlinimum�+cc of$35.00)
_ ��. X.o�zs $ 2l� .��
ontr ctprice) (minimum�35,00)
2. S1ATE SUl.2CTTARGF **Add rhe Sta[e Blclg Cade l�iv, S�uchaT�Je(Nfinimum Fee oi$S�1)
x ,0005 � O� ?�
(contract pricc) (minimum$ .50)
3, POSTnGF&�It�NDLING(Only on Mail-In Applications) $ 1.50
4. 'COTAL PERMT'1'FEE(Add Lines 1-3 I�Uove) $ ��(D � ��
■ * CONTRAC'1' pRICE or JOT3 COST means the actual or esrimated doll�tr amount cbatged for the
permittcd work including materials, labox-,pTofiC, and otl�er fixed costs. It is the am�unt to be chai;ed
to tl�.e customer for ttic work done, Yf any rnaterial, equipn�ent, labor or i��stallations arc: furnish�c by
tl�c owner, tenant or �ny othcr party, tl�e rcasonable market valu.e oF such items xnust be added to the
cstix�ated cost or con,tr�ct pri�c foz pernut f�e purposes. In t1�,e event chat there is a dispute on the
amvu�lt uf[hE job cost, the Cily may .�eques4 the submission of a si�ned copy oE the actual cot�tiac�;
■ "'*The STA'�1 L SURCHARCr�is .0005 o.f the Buildu�g Depsztzncnt at(952) 2�9-4600 far the price
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The undersigned heXcby ap�iies to the: City fur issuance of a Me�hanical Permit, a�ecs to cic all
work in strict aecordance wilh the o►-dinanc�s of the City and the re�ulalions of the StatE of �
Mi�nesota, and ecrliFies that all statem�nts macle on this application are complete, true ind .
correct_
Applicant's Signa�ure� _, Date: �Z��_
5 �
��_DAjE��� TIME
CITY OF ORONO CALLED IN 'LF_� �
INSPECTION NOTICE SCHEDULED � �
PERMIT NO. ���' 7 COMPLETED �_
ADDRESS � � 7
OWNER TELE HONE N . �� -`3���5!�
CONTRACTOR � �� ►� I�� ��a �
� DESCRIPTION ` � `^"' � / � ��
l� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
� ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORFJWETLANDS
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Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPIAINT
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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GW �W'ORKSATISFACTORY:PROCEED C7 PROJECT COMPLETE
� ❑�ORRECT WORK&PROCEED �^ ISSUE CERTIFICATE OF OCCUPANCY
W
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED
❑ INSPECTION RE�UIRED.CALL TO ARRANGE ACCESS.
Ca11 for the next inspection 2a hours in advance. (J52� 249-4600
OwnerlContractor on si :
Inspector. y
White Copyllnspector's File Canary CopylSite Notice
� � /� DATE TIME v
I Y OF ORONO � CALLED IN I
INSPECTION NOTI E � ,� SCHEDULED E� �
PERMIT NO.� � ' � �� COMPLETED
ADDRESS �
.
OWNER TELEPHONE N .
�� • �� _ ��3 �7�
CONTRACTOR ��j
�
� DESCRIPTION ��--� �i� �
lt� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
� ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
�
O ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
� ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES�NO
� COMMENTS:
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GW /�IORK SATISFACTORY:PROCEED ❑ PROJECT COMP�ETE
� ❑CORRECT WORK&PROCEED C; ISSUE CERTIFICATE OF OCCUPANCY
W
� ❑CORRECT WORK,CAIL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Ca11 for the next inspection 2a hours in advance. (952� 249-4600
OwnerlContractor on si :
Inspector. �I�r.�� �
White Copyllnspector's File Canary CopylSite Notice
�_ Q � �� � l o� � \ /
-C/_� /�� TIME V
CITY OF ORONO CALLED IN / �
INSPECTION N E CHEDULED �f o�=3 D
PERMIT NO. UO� COMPLETED
ADDRESS �� �
OWNER TELEP,HONE NO. �� � �57�
CONTRACTOR � � �� ��
�
�: DESCRIPTION
�
l� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADINGlFILLING
� ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
�
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
� ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W❑WORK SATISFACTORY:PROCEED �PROJECT COMPLETE
� ❑CORRECT WORK 8 PROCEED � ISSUE CERTIFICATE OF OCCUPANCY
W
O ❑Ct�RRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITNIN HOURS. C PHOTO TAKEN
INSPECTOR WILL RETURN
1 CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �95Z� 249-4600
OwnerlContractor on site:
Inspector. �
White Copyllnspector's File Canary CopylSite Notice